Taos Pueblo Division of Health and Community Services

NPI #1295971505 in Taos, New Mexico

Provider Information

NPI Number
1295971505
Entity Type
Organization
Organization Name
Taos Pueblo Division of Health and Community Services
Subpart
Yes (part of a larger organization)
Parent Organization
TAOS PUEBLO CENTRAL MANAGEMENT SYSTEM
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Dec 17, 2008
Last Updated
Feb 5, 2014

Practice Location

Address
1090 GOAT SPRINGS RD
City
Taos
ZIP Code
87571
Phone
(575) 758-7824

Authorized Official

Name
MS. SHAWN DURAN
Title
TRIBAL PROGRAM ADMINISTRATOR
Phone
(575) 758-8626

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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